Family Planning/STD Clinic Survey Question Title * 1. How did you learn about the survey? Website Social media Friend (if friend, please add their first name to the comment box below) Other (please specify) Question Title * 2. Were you aware that the Bethlehem Health Bureau offered free sexually transmitted disease (STD) counseling, testing and treatment? Yes No Question Title * 3. Were you aware that the Bethlehem Health Bureau offered free family planning services (birth control, annual exams, pregnancy testing, etc.)? Yes No Question Title * 4. A good location for the Family Planning/STD clinic would be (check as many as apply): Southside Bethlehem Bethlehem City Hall (health bureau) St. Luke's Hospital In a school In a community based organization Other (please specify) Question Title * 5. When is the best time of day to have the Family Planning/STD Clinic (check as many that apply)? Morning Afternoon Evening Question Title * 6. How can we better promote the Family Planning/STD Clinic to the community? Question Title * 7. I identify my gender as... Male Female Other Question Title * 8. What is your age? 12-17 years old 18-24 years old 25-34 years old 35-44 years old over 45 years old Question Title * 9. What is your race/ethnicity? White Hispanic/Latino African American Native American or American Indian Asian/Pacific Islander Other Done